OrganizationActive
Community Innovations Inc
NPI 1841375102 · Intellectual Disabilities Intermediate Care Facility · Orrum, NC
Provider details
- NPI number
- 1841375102
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Harold Jones, Senior Vice President(919) 256-0824
- License
- MHL078049 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
467 Creek Road
Orrum, NC 28369-9269
Phone: (910) 618-0777
Approximate (ZIP-level) locationGet directions
Mailing address
3210 Fairhill Dr
Raleigh, NC 27612-3220
Other names (DBA / former)
- Other name
- Westside Residential
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2007-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.